| Midamericare Limited Liability Company | |
|
6301 E 125th St Grandview MO 64030-1884 | |
| (816) 516-7114 | |
| Not Available |
| Full Name | Midamericare Limited Liability Company |
|---|---|
| Speciality | Psychologist |
| Location | 6301 E 125th St, Grandview, Missouri |
| Authorized Official Name and Position | Craig A Erisman (PRESIDENT) |
| Authorized Official Contact | 8165167114 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midamericare Limited Liability Company 2900 Sw 13th St Lees Summit MO 64081-3800 Ph: () - | Midamericare Limited Liability Company 6301 E 125th St Grandview MO 64030-1884 Ph: (816) 516-7114 |
| NPI Number | 1922322676 |
|---|---|
| Provider Enumeration Date | 03/24/2010 |
| Last Update Date | 03/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922322676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2007006349 (Missouri) | Primary |
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